Bill Status of HB 6562   99th General Assembly

Short Description:  NETWORK ADEQUACY TRANSPARENCY

House Sponsors
Rep. Gregory Harris-Chad Hays-Ann M. Williams-Jeanne M Ives-Tom Demmer, Michael P. McAuliffe, Kelly M. Cassidy, Terri Bryant, Laura Fine, Emanuel Chris Welch, Michael W. Tryon, Ed Sullivan, Elaine Nekritz, Deb Conroy, Patricia R. Bellock, John M. Cabello, John D. Anthony, David McSweeney, Robyn Gabel, Jay Hoffman, Daniel J. Burke, Jaime M. Andrade, Jr., Martin J. Moylan, Robert W. Pritchard and André Thapedi

Last Action  View All Actions

DateChamber Action
  1/10/2017HouseSession Sine Die

Statutes Amended In Order of Appearance
New Act

Synopsis As Introduced
Creates the Network Adequacy and Transparency Act. Provides that administrators and insurers, prior to going to market, must file with the Department of Insurance for review and approval a description of the services to be offered through a health care network plan with certain criteria included in the description. Provides that the health care network plan shall demonstrate to the Department, prior to approval, a minimum ratio of full-time equivalent providers to plan beneficiaries and maximum travel and distance burdens for plan beneficiaries based in the maximum minutes or miles to be traveled by a plan beneficiary for each county type as defined under the Act. Provides that the Department shall conduct periodic audits of health care network plan to verify compliance with network adequacy standards. Establishes certain notice requirements. Provides that a health care network plan shall provide for continuity of care for its beneficiaries based on certain circumstances. Provides that a health care network plan shall post electronically a current and accurate provider directory and make available in print, upon request, a provider directory each subject to the provision's specifications. Provides that the provisions of the Act are deemed incorporated into the health care providers service contracts entered into on or before the effective date of the Act. Provides that the Department is granted specific authority to issue a cease and desist order against, fine, or otherwise penalize any insurer or administrator for violations of any provision of the Act. Effective January 1, 2017.

Actions 
DateChamber Action
  4/21/2016HouseFiled with the Clerk by Rep. Gregory Harris
  4/21/2016HouseChief Co-Sponsor Rep. Chad Hays
  4/21/2016HouseChief Co-Sponsor Rep. Ann M. Williams
  4/21/2016HouseChief Co-Sponsor Rep. Jeanne M Ives
  4/21/2016HouseChief Co-Sponsor Rep. Tom Demmer
  4/21/2016HouseAdded Co-Sponsor Rep. Michael P. McAuliffe
  4/21/2016HouseAdded Co-Sponsor Rep. Kelly M. Cassidy
  4/21/2016HouseAdded Co-Sponsor Rep. Terri Bryant
  4/21/2016HouseAdded Co-Sponsor Rep. Laura Fine
  4/21/2016HouseAdded Co-Sponsor Rep. Emanuel Chris Welch
  4/21/2016HouseAdded Co-Sponsor Rep. Michael W. Tryon
  4/21/2016HouseAdded Co-Sponsor Rep. Ed Sullivan
  4/21/2016HouseAdded Co-Sponsor Rep. Elaine Nekritz
  4/21/2016HouseAdded Co-Sponsor Rep. Deb Conroy
  4/21/2016HouseAdded Co-Sponsor Rep. Patricia R. Bellock
  4/21/2016HouseAdded Co-Sponsor Rep. John M. Cabello
  4/21/2016HouseAdded Co-Sponsor Rep. John D. Anthony
  4/21/2016HouseAdded Co-Sponsor Rep. David McSweeney
  4/21/2016HouseAdded Co-Sponsor Rep. Robyn Gabel
  4/21/2016HouseFirst Reading
  4/21/2016HouseReferred to Rules Committee
  4/22/2016HouseAdded Co-Sponsor Rep. Jay Hoffman
  4/22/2016HouseAdded Co-Sponsor Rep. Daniel J. Burke
  4/22/2016HouseAdded Co-Sponsor Rep. Jaime M. Andrade, Jr.
  4/22/2016HouseAdded Co-Sponsor Rep. Martin J. Moylan
  4/22/2016HouseAdded Co-Sponsor Rep. Robert W. Pritchard
  4/22/2016HouseAdded Co-Sponsor Rep. André Thapedi
  1/10/2017HouseSession Sine Die

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